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. 2021 Jun 17;4(3):684–709. doi: 10.20517/cdr.2021.32

Table 1.

Major factors involved in cancer stem cell-related drug resistance

Associated factor Major normal biological function Functions in cancer drug resistance Major Ref. Additional remarks
ABC transporters Efflux toxic metabolites Efflux anticancer drugs,
reducing ROS
[30,31,33,35,38,56,62,64]
[61]
Functional marker of CSC
Low oxidative stress Anti-apoptosis, detoxification Maintaining stemness,
preventing therapy-induced apoptosis
[48,50,51]
[19,49,50,53,56,58]
ALDH Oxidation of aldehydes, detoxification Detoxification,
reducing ROS,
inducing CSC
[13,41,42]
[42,44]
[45]
Hallmark of CSC
Metabolic reprogramming Not applicable Reducing ROS,
adaptation to TME
[73,75]
[13,27,69,84,85]
Hallmark for cancer metabolism
Autophagy Removal and recycling cellular components Inducing CSC,
promoting survival
[48,100]
[30,100,103,105-109]
Mitophagy reduces ROS and promotes survival